What is the most effective pharmacologic treatment of anxiety symptoms in the institutionalized elderly patient?

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Abstract

Anxiety symptoms in institutionalized elderly patients can stem from many sources. In the subset with generalized anxiety disorder (GAD), venlafaxine is a reasonable first-line medication. (SOR B, extrapolated from a meta-analysis including older outpatients.) Citalopram is also an effective treatment option. (SOR C, extrapolated from a small RCT with older outpatients.)